584 / 1119
• In
postoperative cases
, IMRT use
should be considered
. To demonstrate
preferred patient reported outcomes, participation on the RTOG/GOG 1203
TIME-C trial is encouraged.
• In
intact cases
, the use of IMRT should be
limited to IRB-approved
protocols
secondary to additional planning concerns.
•
Consensus guidelines
exist as to contouring both postoperative and
intact cases, and should be utilized. However,
changes are in progress
,
secondary to concerns as noted above, and appropriate care
should be taken during treatment planning, which may require patient
specific adjustments
.
•
IGRT
should be utilized when IMRT is implemented secondary to
the significant inter-fraction variability that can occur.
Gynecol Oncol 130:229–36;2013